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. 2022 Jun;167:92–96. doi: 10.1016/j.yjmcc.2022.03.007

Fig. 2.

Fig. 2

Hypothesis for mechanism of increased plasma ET-1 levels in severe Covid-19 infection. Covid-19 infection may up-regulate circulating cytokines to stimulate the regulated ET-1 secretory pathway. Additionally, viral entry into endothelial cells induces cell damage and release of stored ET-1 into the circulation. (Illustration generated using Servier Medical Art (smart.servier.com) used under Creative Commons License CC BY 3.0).